<%@ include file="/common/taglibs.jsp"%>

<head>
    <title><fmt:message key="viewPatient.title"/></title>
    <meta name="heading" content="<fmt:message key='patientDetail.heading'/>"/>
    <meta name="menu" content="FactureMenu"/>
</head>

  <s:form id="factureForm" action="AddPatient" method="post" validate="true">  

    <li style="display: none">
        <s:hidden key="patient.id"/>
    </li>
    <s:textfield key="patient.numPat" required="false" cssClass="text medium"/>
    <s:textfield key="patient.nomPat" required="false" cssClass="text medium"/>
    <s:textfield key="patient.prenomPat" required="false" cssClass="text medium"/>
    <s:textfield key="patient.cinPat" required="false" cssClass="text medium"/>
    <s:textfield key="patient.adressePat" required="false" cssClass="text medium"/>
    <s:textfield key="patient.numSecPat" required="false" cssClass="text medium"/>
  
 

    



    
	<li class="buttonBar bottom">
        <s:submit cssClass="button" method="save" key="button.save" theme="simple"/>
    </li>
  
    </s:form>


<script type="text/javascript">
    Form.focusFirstElement($("factureForm"));
    
    
</script>

